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NoV GI.1/GII.4 Bivalent VLP Vaccine

Phase 2

Healthy Volunteers | Monoclonal antibody | Other |Takeda Pharmaceutical Company Limited|Last Updated: Jun 10, 2021

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment4,748

FDA Designations

No designations recorded

Clinical trial landscape

NoV GI.1/GII.4 Bivalent VLP Vaccine · 3 trials · 4 indications

Phase 2 2Phase 1 1
NCT02669121Efficacy and Immunogenicity of Norovirus GI.1/GII.4 Bivalent Virus-like Particle Vaccine in AdultsHealthy Volunteers
COMPLETED4,748 Analytics
NCT02475278Serologic Assay Validation, Proficiency Testing, Safety and Immunogenicity of Norovirus GI.1/GII.4 Bivalent Virus-Like Particle VaccineNorovirus
COMPLETED50 Analytics
PHASE2COMPLETED
Efficacy and Immunogenicity of Norovirus GI.1/GII.4 Bivalent Virus-like Particle Vaccine in Adults
Healthy VolunteersUnlock trial analytics
PHASE2COMPLETED
Serologic Assay Validation, Proficiency Testing, Safety and Immunogenicity of Norovirus GI.1/GII.4 Bivalent Virus-Like Particle Vaccine
NorovirusUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Moderate or Severe Acute Gastroenteritis (AGE) Occurring for >7 Days After Dosing Due to GI.1 or GII.4 Norovirus Strains (Excluding Co-infection)
Up to Day 47

Acute gastroenteritis (AGE) is a sudden inflammation or swelling in the lining of the stomach causing diarrhea and vomiting. A norovirus AGE case was defined as meeting the work-up definition plus a norovirus positive stool sample or vomitus sample confirmed by reverse transcriptase polymerase chain reaction (RT-PCR). The severity of AGE was graded by the investigator as per CTCAE criteria. AGE occurring due to NoV strains excluding co-infection with Salmonella, Shigella or Campylobacter is reported. The Norovirus strains included: GI.1, GI.7a, GII.2 and GII.4.

Number of Participants With Serum Samples Obtained on Day 8 for Assessment of Seropositivity for Both Anti-NoV GI.1 VLP and GII.4 VLP Antibodies
Day 8

Serum samples were obtained for assay validation of the pan-Ig enzyme-linked immuno-sorbent assay (ELISA) and the histoblood group antigen (HBGA) binding assay. The number of participants with assessments for both the GI.1 VLP and GII.4 VLP antibodies and by both the pan-Ig ELISA and the HBGA binding assay, and with values available at Baseline and Day 8 are reported.

Number of Participants With Serum Samples Obtained on Day 15 for Assessment of Seropositivity for Both Anti-NoV GI.1 VLP and GII.4 VLP Antibodies
Day 15

Serum samples were obtained to establish proficiency panels for the pan-Ig ELISA and the HBGA binding assay. The number of participants with assessments for both the GI.1 VLP and GII.4 VLP antibodies and by both the pan-Ig ELISA and the HBGA binding assay, and with values available at Baseline and Day 15 are reported.

Number of Participants With Serum Samples Obtained on Day 29 for Assessment of Seropositivity for Both Anti-NoV GI.1 VLP and GII.4 VLP Antibodies
Day 29

Serum samples were obtained to establish proficiency panels for the pan-Ig ELISA and the HBGA binding assay. The number of participants with assessments for both the GI.1 VLP and GII.4 VLP antibodies and by both the pan-Ig ELISA and the HBGA binding assay, and with values available at Baseline and Day 29 are reported.

Number of Participants With Solicited Local Adverse Events (AEs) Post Dose 1
Day 0 up to Day 7

The solicited local adverse events were reported using a memory aid. Pain was scaled as Mild (did not interfere with activity); Moderate (repeated use of non-narcotic pain reliever greater than (\>) 24 hours \[24h\] or interfered with activity); and Severe (any use of narcotic pain reliever or prevented daily activity). Tenderness was scaled as Mild (mild discomfort to touch); Moderate (discomfort with movement); and Severe (significant discomfort at rest). Swelling and redness were scaled as Mild (2.5-5 centimeter \[cm\] and did not interfere with activity); Moderate (5.1-10 cm or interfered with activity); and Severe (\>10 cm or prevented daily activity).

Number of Participants With Solicited Local AEs Post Dose 2
Day 28 up to Day 35

The solicited local adverse events were reported using a memory aid. Pain was scaled as Mild (did not interfered with activity); Moderate (repeated use of non-narcotic pain reliever \>24h or interfered with activity); and Severe (any use of narcotic pain reliever or prevented daily activity). Tenderness was scaled as Mild (mild discomfort to touch); Moderate (discomfort with movement); and Severe (significant discomfort at rest). Swelling and redness were scaled as Mild (2.5-5 cm and did not interfere with activity); Moderate (5.1-10 cm or interfered with activity); and Severe (\>10 cm or prevented daily activity).

Number of Participants With Solicited Systemic AEs Post Dose 1
Day 0 up to Day 7

Elevated oral temperature:Mild(38-38.4 Celsius\[C\]);Moderate(38.5-38.9 C);Severe(39-40 C).Headache:Mild(no interference with activity);Moderate(repeated use of non-narcotic pain reliever\>24h/some interference with activity);Severe(significant;any use of narcotic pain reliever/prevented daily activity).Fatigue,Malaise:Mild(no interference with activity);Moderate(some interference with activity);Severe(significant;prevented daily activity).Diarrhea:Mild(2-3loose stools/\<400gram\[g\]/24h);Moderate(4-5stools/400-800g/24h);Severe(\>=6watery stools/\>800g/24h/required intravenous\[IV\]hydration).Nausea/Vomiting:Mild(no interference with activity/1-2 episodes/24h);Moderate(some interference with activity/\>2 episodes/24h);Severe(prevented daily activity,required IV hydration).Muscle ache,chills,joint ache,abdominal cramp/pain:Mild(no interference with activity);Moderate(some interference with activity,not required medical intervention);Severe(prevented daily activity,required medical intervention).

Number of Participants With Solicited Systemic AEs Post Dose 2
Day 28 up to Day 35

Elevated oral temperature:Mild(38-38.4 C);Moderate(38.5-38.9 C);Severe(39-40 C).Headache:Mild(no interference with activity);Moderate(repeated use of non-narcotic pain reliever\>24h/some interference with activity);Severe(significant;any use of narcotic pain reliever/prevented daily activity).Fatigue,Malaise:Mild(no interference with activity);Moderate(some interference with activity);Severe(significant;prevented daily activity).Diarrhea:Mild(2-3loose stools/\<400g/24h);Moderate(4-5stools/400-800g/24h);Severe(\>=6watery stools/\>800g/24h/required IV hydration).Nausea/Vomiting:Mild(no interference with activity/1-2 episodes/24h);Moderate(some interference with activity/\>2 episodes/24h);Severe(prevented daily activity,required IV hydration).Muscle ache,chills,joint ache,abdominal cramp/pain:Mild(no interference with activity);Moderate(some interference with activity,not required medical intervention);Severe(prevented daily activity,required medical intervention).

Number of Participants With Unsolicited AEs Post Dose 1
Baseline up to Day 28 (Pre-dose 2)
Number of Participants With Unsolicited AEs Post Dose 2
Day 28 up to Day 56 (Post dose 2)
Number of Participants With Clinically Significant Change From Baseline in Markedly Abnormal Laboratory Values
Baseline up to Day 35

The number of participants with any markedly abnormal standard safety laboratory values (serum chemistry or hematology) collected throughout study.

Number of Participants With Serious Adverse Events (SAEs), Onset of Significant New Medical Conditions, Including Adverse Events of Special Interest (AESI)
Baseline up to 365 Days after post dose 2 (Day 393)

Secondary Endpoints

Number of Participants With Moderate or Severe AGE Occurring >7 Days After Dosing Due to Any Norovirus Strain (Excluding Co-infection)
Up to Day 47
Number of Participants With Moderate or Severe AGE Occurring >7 Days After Dosing Due to Any Norovirus Strain (Including Co-infection)
Up to Day 47
Number of Participants With Moderate or Severe AGE Occurring >7 Days After Dosing Due to GI.1 or GII.4 Norovirus Strains (Including Co-infection)
Up to Day 47
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORNoV placebo-matching 0.5 mL solution for injection, intramuscularly (IM), once, on Day 1.
NoV GI.1/GII.4 Bivalent VLP VaccineEXPERIMENTALNoV GI.1/GII.4 bivalent virus-like particle (VLP) vaccine, 0.5 mL injection, intramuscularly (IM), once, on Day 1.
NoV VaccineEXPERIMENTALNorovirus GI.1/GII.4 bivalent Virus-Like Particle (VLP) vaccine (NoV Vaccine) (15 µg of GI.1 norovirus VLP and 50 µg GII.4 norovirus VLP, adjuvanted with 500 µg aluminum hydroxide), intramuscular (IM) injection, once on Day 1.
SalinePLACEBO_COMPARATOR -

Interventions

NameTypeDescription
NoV Placebo-matching SalineBIOLOGICALNoV placebo-matching saline (0.9% sodium chloride).
NoV GI.1/GII.4 Bivalent VLP VaccineBIOLOGICALNoV bivalent VLP vaccine, adjuvanted with 500 µg aluminum as Al(OH)3.
SalineBIOLOGICALTwo doses 28 days apart
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Eligibility Criteria

Age Range18 Years to 49 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: 1. Participant signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any trial procedures after the nature of the trial has been explained according to local regulatory requirements. 2. Male or female participants, 18 ...

Countries:United States
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Frequently asked questions about NoV GI.1/GII.4 Bivalent VLP Vaccine

What is NoV GI.1/GII.4 Bivalent VLP Vaccine used for?

NoV GI.1/GII.4 Bivalent VLP Vaccine is an investigational vaccine being studied for the prevention of gastroenteritis caused by norovirus. It is designed for use in healthy volunteers and adults. The vaccine is currently in clinical development and has not been approved by regulatory authorities.

What does NoV GI.1/GII.4 Bivalent VLP Vaccine target?

NoV GI.1/GII.4 Bivalent VLP Vaccine targets norovirus genotypes GI.1 and GII.4. It is a bivalent virus-like particle vaccine designed to elicit an immune response against these two norovirus strains, which are common causes of acute gastroenteritis.

Who is developing NoV GI.1/GII.4 Bivalent VLP Vaccine?

NoV GI.1/GII.4 Bivalent VLP Vaccine is being developed by Takeda Pharmaceutical Company Limited, which is listed on the stock exchange under the ticker TAK. The company has conducted clinical trials to evaluate the vaccine's safety and immunogenicity.

What phase is NoV GI.1/GII.4 Bivalent VLP Vaccine in?

NoV GI.1/GII.4 Bivalent VLP Vaccine has completed Phase 1 and Phase 2 clinical trials. The most advanced completed trial was a Phase 2 efficacy study. The vaccine remains investigational and has not received FDA approval.

What clinical trials is NoV GI.1/GII.4 Bivalent VLP Vaccine in?

NoV GI.1/GII.4 Bivalent VLP Vaccine has been studied in three completed clinical trials: NCT01168401, a Phase 1 study in 102 participants; NCT02475278, a Phase 2 study in 50 participants; and NCT02669121, a Phase 2 efficacy study in 4748 healthy adults. All trials were conducted in the United States.

Is NoV GI.1/GII.4 Bivalent VLP Vaccine the same as a norovirus vaccine?

NoV GI.1/GII.4 Bivalent VLP Vaccine is a norovirus vaccine candidate. It is designed to protect against norovirus infection, which causes gastroenteritis. The vaccine targets the GI.1 and GII.4 norovirus genotypes and is being developed by Takeda.